Evaluation/Treatment of Febrile Young Infants (0-56 days old)

MD/CRNP/RN Assessment and Bedside Procedure

General

Notify MD if concerned about the patient’s appearance
Place patient on CR monitor with appropriate alarms
Discuss need for laboratory testing with the family
For those < 29 days old, if no known hypersensitivity to lidocaine, apply LMX-4 to LP site.

IV and Laboratory Studies

Insert peripheral IV and obtain blood for:

See Additional Diagnostic Tests for more information

Urine Specimens

Perform catheterization for urine culture / enhanced UA

IV Fluids

Assess need for normal saline bolus

Preparation for LP for Patients > 29 days old

Place the following at bedside:

Notify MD

Bedside glucose < 60 mg/dL

IV hydration needed
Patient is ready for LP
Place MD/RN orders using ED Febrile Infant Order Set